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CALIFORNIA SURPLUS LINES NOTICE: 1.THE INSURANCE POLICY THAT YOU ARE APPLYING TO PURCHASE IS BEING ISSUED BY AN INSURER THAT IS NOT LICENSED BY THE STATE OF CALIFORNIA. THESE COMPANIES ARE CALLED
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How to fill out california surplus lines notice

01
To fill out the California surplus lines notice, follow these steps:
02
Begin by entering the name and address of the insurance producer or broker in the 'Producer' section of the notice.
03
Indicate the name and address of the insured party in the 'Insured' section.
04
Specify the effective date of the policy in the 'Effective Date' field.
05
State the name of the insurance company providing the coverage in the 'Insurance Company' section.
06
Fill in the types of coverage being provided under the policy in the 'Coverage Description' field.
07
Enter the policy number, if available, in the 'Policy Number' section.
08
Indicate the premium amount for the policy in the 'Premium' field.
09
Provide any additional relevant information in the 'Remarks' section.
10
Sign and date the notice to complete the filling out process.
11
Keep a copy of the completed notice for your records.

Who needs california surplus lines notice?

01
The California surplus lines notice is needed by insurance producers or brokers who are involved in placing surplus lines insurance coverage for insured parties in California.
02
It is a legal requirement for those who are dealing with surplus lines insurance, which is coverage provided by insurance companies that are not licensed to operate in California.
03
Thus, any insurance producer or broker who is working with surplus lines insurance in California must use the surplus lines notice to comply with state regulations.
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California surplus lines notice is a form that must be filed by insurance brokers to report insurance policies that are placed with non-admitted insurers.
Insurance brokers in California are required to file california surplus lines notice.
California surplus lines notice can be filled out electronically through the California Department of Insurance's online portal or manually by submitting a paper form.
The purpose of california surplus lines notice is to regulate the placement of insurance policies with non-admitted insurers and ensure consumer protection.
Information such as policyholder details, policy coverage, premium amount, and insurer details must be reported on california surplus lines notice.
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